CMS Price Transparency Data

Blood test, lipase

Facility: Barnes Jewish Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $57
Cash Discount Price: $55
vs. Medicare Baseline: 8.27x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Barnes Jewish Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 8.27x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)

Cash / Self-Pay: $55 (798%)

Insurance Median: $57 (827%)

Cash: $55 (798% of Medicare)

Ins. Median: $57 (827% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 827% of the Medicare baseline (a markup of 727%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$7 - $68	102%
Healthscope Benefits [258]	$8 - $59	116%
Cigna	$10 - $73	145%
Aetna	$13 - $68	189%
Allied Benefits [498]	$13 - $68	189%
Consociate [478]	$13	189%
Coresource [497]	$13	189%
Fmh Benefit Service Inc [222]	$13	189%
Mail Handlers [495]	$13	189%
Sarah Bush Lincoln [636]	$13	189%
Apwu Health Plan [216]	$16	232%
Nalc Health Benefit Plan [242]	$16	232%
Priority Health [648]	$16	232%
Blue Cross Blue Shield	$22 - $79	319%
Humana	$23	334%
Mercy Behavioral Health [573]	$23	334%
Healthlink [225]	$44 - $69	639%
Cox Health Systems Insurance Company [220]	$50 - $59	726%
Health Alliance [224]	$50	726%
Hope Trust [806]	$53	769%
Med-Pay [480]	$59 - $68	856%
Unicare [568]	$59 - $69	856%
Beechstreet [551]	$68	987%
Detego Health [868]	$68	987%
First Health Commercial [734]	$68	987%
Health Systems Inc [620]	$68	987%
Healthcare Sol Mercy [609]	$68	987%
Multiplan Commercial [737]	$68	987%
Multiplan [240]	$68	987%
Phcs [244]	$68 - $73	987%
Preferred Health Professionals [561]	$69	1001%
Medica [661]	$73	1060%
Hfn [563]	$77	1118%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $55.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Barnes Jewish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.